Longitudinal Data Analysis and Time Series Commons^™

Individualized Treatment Rules: Generating Candidate Clinical Trials, Maya L. Petersen, Steven G. Deeks, Mark J. Van Der Laan

U.C. Berkeley Division of Biostatistics Working Paper Series

Statistical methods have rarely been applied to learn individualized treatment rules, or rules for altering treatments over time in response to changes in individual covariates. Termed dynamic treatment regimes in the statistical literature, such individualized treatment rules are of primary importance in the practice of clinical medicine. History-Adjusted Marginal Structural Models (HA-MSM) estimate individualized treatment rules that assign, at each time point, the first action of the future static treatment plan that optimizes expected outcome given a patient's covariates. However, as we discuss here, the optimality of these rules can depend on the way in which treatment was assigned in …